NPI | 1093311813 |
---|---|
Former Name | AGATA A ZEMLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022017) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022017) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2025-02-26 |